MR. ETHAN A BERRY MSN CRNA
NPI 1710094941
Nurse Anesthetist, Certified Registered in Clackamas, OR
About Mr. Ethan A Berry Msn Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ETHAN A BERRY MSN CRNA (NPI 1710094941) is an individual nurse anesthetist, certified registered in Clackamas, Oregon, licensed in Oregon (200560041CRNA) and active in the NPI registry since August 2006. He is affiliated with Kaiser Sunnyside Medical Center and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Ethan A Berry Msn Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Sunnyside Medical Center
Acute Care Hospitals · Clackamas, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Berry's NPI number?
The NPI number for Ethan Berry is 1710094941. It was assigned to this individual provider in the NPPES registry on August 24, 2006.
Where is Ethan Berry located?
Ethan Berry practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (909) 967-1734.
What is Ethan Berry's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ethan Berry enrolled in Medicare?
Yes. Ethan Berry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Ethan Berry affiliated with any hospitals?
According to CMS data, Ethan Berry is affiliated with Kaiser Sunnyside Medical Center.
When was this NPI record last updated?
The NPPES record for Ethan Berry was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Ethan A Berry, MSN CRNA · NPI 1710094941
Nurse Anesthetist, Certified Registered physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1710094941 (Entity type: Individual)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 200560041CRNA (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10180 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (909) 967-1734
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** November 20, 2009
---
Source: [NPI Profile](https://npiprofile.com/npi/1710094941) · Data from the CMS NPPES public registry.